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IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM AND …

IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM AND …

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State of California – Health and Human Services Agency California Department of Social Services SOC 2298 (1/19) Page 2 of 2 Instructions for filling out the Live-In Self-Certification Form 1. All requested information must be entered in English on the form in the designated area. 2. You must sign the form on the designated line. 3.

  Programs, Social, Services, Department, California, Live, California department of social services, Home, In home supportive services, Supportive, Ihss

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